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1023627767
KRISTA KAY MOORE
OSHKOSH, WI
NPI
1023627767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19216-130)
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
KRISTA KAY MOORE SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
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Mailing Address
KRISTA KAY MOORE SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
Copy
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